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MRS. GRACE RAISSA GUSTAFSON MS CCC SLP
NPI 1972656122
Speech-Language Pathologist in Worcester, MA

Active since January 19, 2007
PRENET FAMILY HEALTH SERVICES, 237 MILLBURY ST, WORCESTER, MA 01610(508) 755-1228 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Grace Raissa Gustafson Ms Ccc Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. GRACE RAISSA GUSTAFSON MS CCC SLP (NPI 1972656122) is an individual speech-language pathologist provider in Worcester, Massachusetts, licensed in Massachusetts (5053) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1972656122
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. GRACE RAISSA GUSTAFSONCredential: MS CCC SLP
Location AddressPRENET FAMILY HEALTH SERVICES, 237 MILLBURY STWorcester, MA 01610
Mailing Address359 West Thompson RdThompson, CT 06277 · (860) 963-0267
Phone(508) 755-1228
Sole ProprietorNo
Enumeration DateJanuary 19, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1972656122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MA · 5053
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
PRENET FAMILY HEALTH SERVICES, Worcester, MA 01610
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Other Names 1

Former Name (1)Ms. Grace Raissa Brilliant Ms Ccc Slp

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Gustafson's NPI number?

The NPI number for Grace Gustafson is 1972656122. It was assigned to this individual provider in the NPPES registry on January 19, 2007. The provider is also known as Ms. Grace Raissa Brilliant Ms Ccc Slp.

Where is Grace Gustafson located?

Grace Gustafson practices at Prenet Family Health Services 237 Millbury St, Worcester, MA 01610. The listed phone number is (508) 755-1228.

What is Grace Gustafson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Grace Gustafson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.